Mental Wellness Day at Canyon Lake Registration Form

Mental Wellness Day at Canyon Lake Registration Form

Fill out the form entirely
Guest Name

First NameMiddle NameLast Name
Guest Name

First NameLast Name
Guest Name

First NameLast Name
Guest Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number
I have the following water equipment:

Inflatable TubesKayaksCanoesFishing RodLife Jacket
My guest and I know how to swim

Yes, we all know how to swimYes, the adults know howNo, we don't know howWe plan to wear life jackets
Are you affilated with the Military? If yes, choose how:

Active DutyGuard/ReserveVeteranDependentFamily MemberN/A
Are you an Educator or Hospital Employee?

Yes, EducatorYes, Hospital/ClinicN/A
I want to sponsor a wellness activity or be a vendor for the following:

YogaPaddle boardingArtJewelry MakingChair MassagesHennaOther
Other option
I can bring the following store bought items:

baked beansranch style beanspotato saladricesaladother sidecookiescupcakeswatermelonother dessertbeverage
By signing this registration form I agree not to hold Hiking Heroes or Circle of Arms liable for any incidents that may or could happen to myself or any of my guests.while at Mental Wellness Day at Canyon Lake event. You and any guests who choose to participate in any activities are doing so at your own risk and understanding of said risk. If you can't swim than you need to wear a life vest. We're only providing main meat: burgers, chicken, and sausage while they last. First come first serve. If you bring alcoholic beverages you're consuming at your own risk and not at the hosts responsibility.
Additional Comments
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